As of January 1, 2019, the Centers for Medicare and Medicaid Services (CMS) required that all hospitals post a comprehensive, online list of standard charges for services and goods that the hospital provides to patients. The list is intended to help you easily access charge information to improve price transparency.
Wills Eye Hospital is committed to being transparent with our standard charges. The information provided in the links below contains a comprehensive listing of our charges for services provided by the hospital, also known as our charge master. These prices are subject to change and are updated at least on an annual basis.
While we fully support efforts to improve pricing transparency, the list of standard charges was only a starting point in determining the costs associated with your health care. By itself, the list is not the most helpful tool for you to comparison-shop between hospitals or to estimate your financial obligation for the healthcare services you receive.
Your out-of-pocket cost for care is determined by:
- The agreed-upon rate that your insurance company pays the hospital for the services provided — which are generally less than the standard charges; and
- The copay, co-insurance or deductible required by your benefit plan.
Individuals without insurance receive a reduced price from the hospital and may also be eligible for financial assistance or charity care.
Therefore, beginning on January 1, 2021, hospitals are also required to make public their standard charges online in two updated ways:
- A comprehensive machine-readable file that includes all standard charges for all hospital items and services; and
- A consumer-friendly display of standard charges for ‘shoppable’ services that are grouped with charges for ancillary services that are customarily provided by the hospital. These standard charges must include:
- Discounted cash price: the charge that applies to an individual who pays cash, or cash equivalent, for the shoppable service. If the hospital does not offer a discounted cash price for a shoppable service, the hospital must list its undiscounted gross charge for the shoppable service (and any corresponding ancillary services). Click here to download file.
- Payer-specific negotiated charge: the charge that a hospital has negotiated with a third party payer for the shoppable service. Click here to download file.
- De-identified minimum negotiated charge: the lowest charge that a hospital has negotiated with all third-party payers for the shoppable service. Click here to download file.
- De-identified maximum negotiated charge: the highest charge that a hospital has negotiated with all third-party payers for the shoppable service. Click here to download file.
Estimated Out-of-Pockets Costs
Many patients who seek hospital charge information are interested in knowing their potential out-of-pocket financial responsibility. The new CMS requirement provides an opportunity to have important conversations regarding finances.
- Those with health insurance can be directed to contact their health plan for specific financial obligations.
- Those without health insurance will be provided information related to the hospital's financial assistance policy and any discounts that can be applied.
If you have questions regarding your out-of-pocket cost for a specific service, contact our Financial Estimators at firstname.lastname@example.org. They can review your personal situation to give you the most accurate estimate and connect you with a financial counselor if you need financial assistance.
Click on the links below to download the .csv files. (Safari users: please right click to download.)
Wills Eye Hospital - CDM (last updated 1/27/21)